What should the nurse do when preparing to complete an assessment for a 16-year-old patient?
a. Focus on illness behaviors.
b. Plan for a diminished energy level.
c. Treat the patient as an individual.
d. Have the parents present throughout.
C
Older children and adolescents tend to respond best when treated as adults and individuals and often can provide details about their health history and severity of symptoms. Routine examinations of children have a focus on health promotion and illness prevention, particularly in the care of well children with competent parenting and no serious health problems. The focus is on growth and development, sensory screening, dental examination, and behavioral assessment. Children who are chronically ill, disabled, in foster care, or foreign-born adopted may require additional assessment. The adolescent has a right to confidentiality. After talking with the parents about historical information, the nurse arranges to be alone with the adolescent to speak further privately and to perform the examination.
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